Thapa P J, Thapa S, Shrestha N
Integrated Development Systems, Kathmandu, Nepal.
Stud Fam Plann. 1992 Sep-Oct;23(5):311-8.
This report presents the major findings of a study of induced abortion in Nepal, based on 165 cases out of the 1,576 female patients identified as having abortion-related complications who were admitted to five major hospitals in urban Nepal during a one-year study period. Traditional birth attendants had been the service providers for two-fifths of the women. A longer delay in hospital referrals and lengthier hospital stays occurred for cases of induced abortion than for those of spontaneous abortion. Twelve of the 165 women in the study died in the hospital, most of them from tetanus. Deaths resulting from abortion-related complications represented more than half of all maternity-related deaths in the hospitals studied. The authors suggest that health risks could be reduced considerably by strengthening the hospital-referral system and by taking some preventive steps, such as educating the traditional birth attendants and other paramedical providers about the consequences of unsafe abortion practices; increasing the availability of contraceptive methods; and promoting the use of menstrual regulation, which has recently become available in Nepal on a limited scale, mostly in private clinics.
本报告介绍了一项关于尼泊尔人工流产的研究的主要发现，该研究基于在为期一年的研究期间，尼泊尔城市五家主要医院收治的1576名被确定有流产相关并发症的女性患者中的165例。五分之二的女性的服务提供者是传统助产士。与自然流产的病例相比，人工流产病例转诊至医院的延迟时间更长，住院时间也更长。研究中的165名女性中有12人在医院死亡，其中大多数死于破伤风。在所研究的医院中，与流产相关并发症导致的死亡占所有孕产妇相关死亡的一半以上。作者建议，通过加强医院转诊系统以及采取一些预防措施，例如教育传统助产士和其他辅助医疗人员了解不安全堕胎行为的后果；增加避孕方法的可及性；推广使用月经调节术（尼泊尔最近已在有限范围内提供，主要在私人诊所），可大幅降低健康风险。
